THERON ANDREW STOUT

ATASCADERO, CA
NPI1417173980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  50103)
Enumeration Date2007-04-17
Last Update Date2022-10-19
Business Address
THERON ANDREW STOUT DDS
8310 MORRO RD
ATASCADERO, CA 93422-3927
Phone number: 805-464-2723
Mailing Address
THERON ANDREW STOUT DDS
209 MEADOWLARK RD
PASO ROBLES, CA 93446
Phone number: 805-239-3744